CAESAREAN SCAR ECTOPIC -A RARE ENTITY

2021 ◽  
pp. 28-29
Author(s):  
Naina Yadav ◽  
Kalpana Tiwari ◽  
Priyanka Goel
Keyword(s):  
Caesarean Section ◽  
Ectopic Pregnancy ◽  
Previous Caesarean Section ◽  
Rare Entity ◽  
Caesarean Scar ◽  
Caesarean Scar Pregnancy

Caesarean scar pregnancy (CSP) is an ectopic pregnancy implanted in (1) the myometrium at the site of a previous caesarean section scar Its incidence is rising with the increase in number of caesarean sections .Very rst case was reported in 1978

Ultrasound guided vacuum aspiration treatment of caesarean scar ectopic pregnancy

2021 ◽  
Vol 86 (3) ◽  
pp. 184-188
Author(s):  
Adrián Totka ◽  
◽  
Martin Gábor ◽  
Martin Alföldi ◽  
Ivana Kunochová ◽  
...  
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Ectopic Pregnancy ◽  
Previous Caesarean Section ◽  
Ultrasound Guided ◽  
Caesarean Scar ◽  
Vacuum Aspiration ◽  
Caesarean Scar Pregnancy ◽  
Aspiration Technique ◽  
History Of

Summary: Objective: To describe the case of ectopic pregnancy in the scar after caesarean section and its successful treatment using the technique of sonographically controlled vacuum aspiration. Case report: The case of a 35-year-old patient with a history of two caesarean sections referred by a district gynecologist in the 6th week of pregnancy with suspected pathological localization of pregnancy in a scar after a previous caesarean section. The procedure for the diagnosis and treatment of ectopic pregnancy in the scar after previous caesarean sections has been successfully resolved using sonographically controlled vaginal vacuum aspiration. Conclusion: Caesarean scar pregnancy occurs as a complication of previous caesarean section or other uterine instrumental performances. The use of the sonographically controlled vacuum aspiration technique appears to be a successful method of treating pregnancy in a scar after a caesarean section.

scholarly journals The menace of caesarean scar pregnancy: a management challenge in modern obstetrics

2020 ◽  
Vol 9 (10) ◽  
pp. 4057
Author(s):  
Anjali Choudhary ◽  
Meenakshi Tanwar ◽  
Shweta Nimonkar ◽  
Shailly Singh
Keyword(s):  
Caesarean Section ◽  
Ectopic Pregnancy ◽  
Fertility Treatment ◽  
Detailed History ◽  
Caesarean Scar ◽  
Surgical Evacuation ◽  
Caesarean Scar Pregnancy ◽  
History Of ◽  
Foley’S Catheter ◽  
Management Challenge

Background: With the increasing caesarean section rates a new challenging evil of caesarean scar pregnancy (CSPs) has emerged. As a variant of ectopic pregnancy caesarean scar pregnancy is the rarest of all. Diagnosis and management of CSP can be challenging especially when there are no early symptoms and even lessor index of suspicion.  Objective of this endeavour was to present one institute experience of management of caesarean scar pregnancies.Methods: This are a retrospective analysis of women admitted with CSP. Detailed history, investigation, management protocols and complications were noted.Results: Of the total cases maximum women (60%) had history of previous two caesarean section. 90 % of cases were managed successfully with intra-sac or systemic methotrexate, and surgical evacuation with Foley’s catheter tamponade, only two women needed hysterectomy for uncontrolled bleeding.Conclusions: Caesarean scar pregnancy is a diagnostic and management challenge in modern obstetrics. Early ultrasound diagnosis helps in planning a successful medical treatment and serves to preserve uterus and fertility. Treatment with transabdominal intra-sac methotrexate and Foley’s catheter for tamponade is safe and effective method of treating CSPs.

scholarly journals Ruptured Ectopic Pregnancy in Caesarean Section Scar: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Kamal Singh ◽  
Anjali Soni ◽  
Shelly Rana
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Ectopic Pregnancy ◽  
Maternal Morbidity ◽  
Rare Case ◽  
First Trimester ◽  
Transvaginal Sonography ◽  
Caesarean Scar ◽  
Future Fertility ◽  
Caesarean Scar Pregnancy

Pregnancy implantation within previous caesarean scar is one of the rarest locations for an ectopic pregnancy. Incidence of caesarean section is increasing worldwide and with more liberal use of transvaginal sonography, more cases of caesarean scar pregnancy are being diagnosed in early pregnancy thus allowing preservation of uterus and fertility. However, a delay in either diagnosis or treatment can lead to uterine rupture, hysterectomy, and significant maternal morbidity. We are reporting a rare case of first trimester caesarean scar pregnancy with viable fetus in the process of rupture, where uterine repair could be done, thus preserving the future fertility.

LAPAROSCOPIC MANAGEMENT OF AN ECTOPIC PREGNANCY IN A PREVIOUS CAESAREAN SECTION SCAR: A CASE REPORT

2021 ◽  
pp. 12-13
Author(s):  
Sonam Jadhav ◽  
Anshika Agarwal ◽  
Abhishek Mangeshkar
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Ectopic Pregnancy ◽  
Successful Treatment ◽  
Rare Case ◽  
Previous Caesarean Section ◽  
Laparoscopic Management ◽  
Caesarean Scar ◽  
Reproductive Capability ◽  
Timely Treatment

Caesarean scar ectopic is one of the rarest forms of ectopic pregnancy [3]. The diagnosis and treatment of it is challenging. It is important to diagnose the condition as early as possible in order to administer appropriate, timely treatment and to avoid complications. A rare case of laparoscopic management of an ectopic pregnancy in a previous Caesarean section scar is reported here. Laparoscopy enabled the successful treatment of an unruptured ectopic pregnancy in a previous Caesarean scar and made it possible to preserve the patient’s reproductive capability. In this report we present a case of 30 year old gravida 2, para 1, living 1 with cesarean scar ectopic pregnancy managed laparoscopically.

scholarly journals The marks that humans’ leave are too often scars

2020 ◽  
Vol 9 (12) ◽  
pp. 5163
Author(s):  
Nandita Sushilkumar Kaushal ◽  
Shrikrushna Vasant Chavan ◽  
Arundhati Gundu Tilve ◽  
C. V. Hegde
Keyword(s):  
Caesarean Section ◽  
Surgical Technique ◽  
Chorionic Gonadotropin ◽  
Innovative Approach ◽  
Previous Caesarean Section ◽  
Caesarean Scar ◽  
Obstetric Emergency ◽  
Beta Hcg ◽  
Beta Human Chorionic Gonadotropin ◽  
Products Of Conception

Caesarean scar ectopics are the newest member of this obstetric emergency. Although rare, are associated with torrential haemorrhage. Gravida 3 para 2 with previous two caesarean sections with spotting per vaginum. Ultrasound showed a pregnancy embedded in the scar of previous caesarean section. MRI confirmed it. Beta human chorionic gonadotropin (HCG) was 15000 which dropped to 5000 after. An innovative approach was taken to laparoscopically evacuate the pregnancy. The products of conception were removed and the incision sutured so as to achieve haemostasis. Beta HCG was 15000 which dropped to 5000. Patient was haemodynamically stable and discharged on day 3. An innovative approach with skilled surgical technique not only decreased the morbidity but also avoided an unnecessary hysterectomy.

scholarly journals Is it necessary to correct a caesarean scar defect before a subsequent pregnancy? A report of three cases

2019 ◽  
Vol 47 (5) ◽  
pp. 2248-2255
Author(s):  
Piotr Szkodziak ◽  
Anna Stępniak ◽  
Piotr Czuczwar ◽  
Filip Szkodziak ◽  
Tomasz Paszkowski ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Preterm Delivery ◽  
Uterine Rupture ◽  
Subsequent Pregnancy ◽  
Surgical Correction ◽  
The Other ◽  
Obstetric Outcome ◽  
Caesarean Scar ◽  
Caesarean Scar Pregnancy ◽  
Caesarean Scar Defect

Rates of caesarean section have increased over recent years and so too have associated complications, one of which is a caesarean scar defect (CSD). The defect may cause gynaecological symptoms, such as menometrorrhagia, infertility, chronic abdominal/pelvic pain or it may be asymptomatic. The presence of CSD may lead to obstetrical sequalae such as preterm delivery, uterine rupture, caesarean scar pregnancy or abnormal placenta implantation. Three cases of CSD are described here. In one case, surgical correction of the CSD was performed before a subsequent pregnancy with an uncomplicated obstetric outcome. In the other two cases, surgical correction of the CSD was not performed and the pregnancies were complicated by caesarean scar dehiscence and caesarean scar pregnancy. We suggest that women with a CSD may benefit from surgical correction of the defect before becoming pregnant to reduce the likelihood of serious complications.

scholarly journals Caesarean Scar Pregnancy - A Rare Case Report

2016 ◽  
Vol 27 (2) ◽  
pp. 83-86 ◽  
Author(s):  
Razia Sultana ◽  
Saiful Islam ◽  
Nurjahan
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Ectopic Pregnancy ◽  
Transvaginal Sonography ◽  
Emergency Laparotomy ◽  
Colour Doppler ◽  
Caesarean Scar ◽  
Incomplete Abortion ◽  
Rare Case Report ◽  
Life Threatening

Objective:The aim is to publish the case report of the rarely occurring and life threatening ectopic pregnancy developing in a Caesarean section scar causing uterine rupture.Methods and Results: This patient was diagnosed initially as a case of incomplete abortion. Other possible diagnoses were molar pregnancy, mass in the cervix. She was admitted in hospital for evacuation and curettage. During the procedure she developed severe pervaginal bleeding leading to hypovolumic shock. So decision was taken for emergency laparotomy. After opening the abdomen rupture was found in the lower uterine segment extending upto upper part of cervix. So hysterectomy was performed and histopathology confirmed the diagnosis of ectopic pregnancy that developed in a Caesarean section scar Analysis of the women’s obstetric history revealed that she had been previously operated because of breech presentation.Conclusion: Heightened awareness of the possibility of pregnancy in caesarean scar and early diagnosis by means of transvaginal sonography along with colour doppler can improve outcome and minimize the need for emergency extended surgeryBangladesh J Obstet Gynaecol, 2012; Vol. 27(2) : 83-86

scholarly journals Cesarean Scar Ectopic Pregnancy

2021 ◽  
Vol 11 (5) ◽  
pp. 358-361
Author(s):  
Sunil V. Jagtap ◽  
Nitin Kshirsagar ◽  
Ramnik Singh
Keyword(s):  
Caesarean Section ◽  
Ectopic Pregnancy ◽  
Uterine Rupture ◽  
Vaginal Bleeding ◽  
Hypovolemic Shock ◽  
Lower Uterine Segment ◽  
Caesarean Scar ◽  
Anterolateral Wall ◽  
History Of ◽  
Gestational Sac

Caesarean Scar Ectopic Pregnancy (CSEP) is one of the rarest forms of ectopic pregnancy. We present a 30 year female presented with 8 weeks of amenorrhea. Her obstetric history was G3P2D2. Her B HCG levels were >10,000 IU/L. She had history of previous 2 lower uterine segment Caesarean section. She was referred to our hospital in stage of severe hypovolemic shock related to vaginal bleeding. USG findings were suggestive of death of fetus of about 6 weeks 5 days. Gestational -sac at lower uterine segment Caesarean section scar level. Radiological diagnosis was? Scar pregnancy. On histopathology diagnosed as Caesarean scar ectopic pregnancy with area of rupture in anterolateral wall of lower uterine segment and upper cervix. The endometrium was unremarkable. We are presenting this case for its rarity, clinical radiological and histopathological findings. Key words: Scar ectopic pregnancy, Uterine rupture, Gestation, Caesarean section.

Sign in / Sign up

Export Citation Format

Share Document